Individual
JESSICA HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 BATES AVE, CONCORD, CA 94520-1208
(925) 608-5126
Mailing address
2500 BATES AVE, CONCORD, CA 94520-1208
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
741710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B7265576
DRIVER'S LICENSE
CA
Enumeration date
10/08/2018
Last updated
10/08/2018
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